Senior Healthcare Fraud Investigator
Medica
Medica seeks an SIU Investigator IV to lead advanced investigations into suspected fraud, waste, and abuse. This role is pivotal in managing complex cases, conducting specialized audits, and ensuring compliance with legal standards. The ideal candidate will have over 7 years of investigative experience, strong analytical skills, and be proficient in Microsoft Office. This position primarily operates onsite in Minnetonka, MN, and candidates must be authorized to work in the US. #J-18808-Ljbffr Medica
$70.2k - $105.32k
Medica is looking for an SIU Investigator IV to lead advanced investigations into fraud, waste, and abuse. This role requires overseeing complex cases, conducting audits, and collaborating with law enforcement. Candidates should have a bachelor’s degree and over 7 years...Senior- ...Principal Data Scientist to improve lives through data-driven insights. This remote role influences strategic decisions and supports healthcare initiatives by translating complex data into actionable strategies. The position requires advanced analytics, collaboration with...SeniorRemote job
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Texas Health Institute is looking for an experienced fraud investigator to gather and analyze data related to fraud and waste. This role allows for telecommuting from anywhere in the U.S. Applicants should have at least 5 years in a fraud investigations role and appropriate...SeniorRemote jobHourly pay- ...A healthcare company in Eden Prairie is searching for a Sr Project Manager. This position is remote and involves managing critical projects, collaborating with various stakeholders, and achieving strategic outcomes. Candidates should have at least 6 years in project management...SeniorRemote work
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...Connecting. Growing together. The Senior Investigator will be responsible for investigating... ...experience ~2+ years of healthcare related experience ~ Advanced level... ...Preferred Qualifications: Fraud Certification, such as CFE of AHFI...SeniorMinimum wageFull timeWork experience placementLocal areaRemote work- Optum is seeking a Principal Data Scientist responsible for designing and delivering advanced AI/ML systems impacting healthcare. This role requires 10+ years of experience and expertise in machine learning, deep learning, and generative AI. Successful candidates will...SeniorRemote work
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UnitedHealth Group is seeking an experienced AI/ML professional to join Optum AI, a leader in healthcare innovation. You will develop cutting-edge AI solutions, collaborate with various teams, and solve complex challenges in healthcare. This role allows flexibility to...SeniorRemote job- Medica is seeking an Affordability Analyst to support data analysis and insights aimed at enhancing healthcare affordability. This role involves mentoring junior analysts, conducting comprehensive analyses, and collaborating with cross-functional teams to drive data-driven...Senior
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$90k - $195k
...offering flexibility to work remotely from anywhere in the U.S. Candidates should have at least 3 years of sales experience in the healthcare field, a demonstrated record of meeting quota targets, and the willingness to travel 50% of the time. The role offers a...SeniorRemote job- Crains Cleveland is looking for an Advisory Services Manager to lead consulting efforts within the Optum Advisory Services. This remote position requires expertise in project management and the effective use of AI tools. Candidates must have over 7 years of experience in...SeniorRemote job
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UnitedHealth Group is seeking a highly skilled AI/ML Engineer to develop solutions within the Pharmacy domain. This role requires deep expertise in Generative AI technologies, including Large Language Models and frameworks such as TensorFlow and PyTorch. The position offers...SeniorRemote work- ...payment integrity initiatives for our health services. A required qualification is a BA/BS or equivalent experience, along with significant healthcare knowledge. Join us to contribute to global health outcomes while enjoying comprehensive benefits. #J-18808-Ljbffr OptumSeniorRemote work
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Medica, a nonprofit health plan, is seeking a contract manager responsible for vendor contracting and negotiations. You will work closely with internal stakeholders to ensure contracts meet business needs. The role requires a bachelor's degree and 5+ years of experience...SeniorContract work$91.7k - $163.7k
UnitedHealth Group seeks an experienced AI/ML Software Engineer to lead innovative solutions in healthcare. You will design and develop AI-powered software, drive AI adoption, and mentor team members. Ideal candidates will have 6+ years in software engineering and 5+ years...SeniorRemote job- Texas Health Institute is seeking an Advisory Services Senior Consultant to work remotely from the U.S. You will engage clients, leveraging your healthcare expertise within the Optum Advisory practice. The ideal candidate has extensive project management experience in...SeniorRemote work
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UnitedHealth Group is seeking a Product Owner to manage product backlog for scrum teams in the healthcare payments domain. The position offers the flexibility of remote work and requires significant experience in product ownership and healthcare payments. You will gather...SeniorRemote job- Medica is seeking a financial analyst to join our team in Minnetonka. The ideal candidate will have over 7 years of experience in financial analysis and reporting, with strong analytical and problem-solving skills. Responsibilities include analyzing financial data and assisting...Senior
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UnitedHealth Group is seeking an experienced AI/ML scientist to develop cutting-edge solutions that improve healthcare systems. You'll leverage your expertise in Large Language Models and collaborate with top researchers on impactful projects. This role, based in Eden...SeniorRemote jobLocal area- ...experienced professionals to join Optum AI, a leader in AI/ML solutions. The role focuses on delivering impactful AI technologies for healthcare, involving collaboration with cross-functional teams and managing advanced machine learning systems. Candidates should have...SeniorRemote job
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